第1产程潜伏期指导对分娩的影响

Effect on delivery by incubation stage direction

目的 :观察规范指导对处于分娩第 1产程潜伏期孕妇的影响。方法 :为处于分娩第 1产程潜伏期的 15 0例产妇讲解分娩知识 ,训练助产动作 ,树立自然分娩信心 ,并动态观察产妇的分娩情况。以条件相同 ,未在潜伏期做指导的产妇 15 0例为对照组。结果 :观察组总产程、第 1产程活跃期及第 2产程明显短于对照组 (P <0 0 1) ,新生儿窒息率、剖宫产率明显低于对照组(P <0 0 1)。第 1产程潜伏期、阴道助产率及产后出血发生率两组差异无显著性。结论 :在第 1产程潜伏期对产妇进行规范指导可以缩短产程 ,促进自然分娩 ,降低新生儿窒息发生率。

Objective:To explore and observate standard nursing direction to puerpera during incubation stage and its effect on delivery.Method:150 puerpera had been taught delivery knowledge,trained delivery action encouraged to grasp confidence during incubation period and received dynamic observation other 150 cases as control.Result:In observation group,general process the first delivery process active stage second process all seem shorter than control(P<0.01).Suffocation ratio,cesarrean ratio all lower than control(P<0.01),no significant differences in first process incubation stage vaginal delivery ratio or post labour haemorrhage ratio.Conclusion:Standard nursing direction in incubation stage of first process can shorten process,improve delivery,lower neonate suffocation ratio.